1871. SHRI R. PARTHIPAN: GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE LOK SABHA UNSTARRED QUESTION NO. 1871 TO BE ANSWERED ON 29 TH DECEMBER, 2017 HEALTHCARE OF ELDERLY PEOPLE Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state: (a) the details of healthcare programmes for the elderly in the country; and (b) the details of Government expenditure incurred on healthcare of elderly during the last three years? ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SMT. ANUPRIYA PATEL) (a): The Government of India had launched National Programme for Health Care of the Elderly (NPHCE) during 2010-11 with a view to provide separate and specialized comprehensive health care facilities to senior citizens at various levels of state health care delivery system including outreach services. The health care facilities, being provided under this programme, are either free or highly subsidised. The major activities of the NPHCE are:- i) Setting up of Geriatric department in identified Regional Geriatric Centres (RGCs) with OPD care services and 30 bedded Geriatric ward for providing indoor services. RGCs will also undertake PG Courses in Geriatric for developing Human Resource ii) Setting up of 10 bedded Geriatric units at all District Hospitals that will provide indoor services for elderly during hospitalisation. ii) Establishment of Rehabilitation unit at all Community Health Centres (CHCs) and Geriatric clinic twice/week. iv) Setting up weekly Geriatric clinic by trained medical Officer at Primary Health Centres (PHCs). Contd
-2- In addition, the Government of India is supporting the development of two National Centres of Ageing (NCAs) - one in AIIMS, New Delhi and another in Madras Medical College, Chennai. The NCAs are supposed to function as a National Centres of Excellence with 200 bedded facility and aimed to be teaching, research & referral institute for geriatric care in the country. Apart from this, the Government of India is implementing Senior Citizen Health Insurance Scheme (SCHIS) for Senior Citizens of age 60 year s and above, belonging to Below Poverty Line (BPL) and 11 other defined categories such as MGNREGA Workers, Construction Workers, Mine Workers, Licensed Railway Porters, Street Vendors, Beedi Workers, Rickshaw Pullers, Rag Pickers and Auto/ Taxi drivers with effect from 01.0.2016, as a top up scheme of Rashtriya Swasthya Bima Yojna (RSBY). The health coverage is upto Rs. 30,000/ --per annum per senior citizen for treatment packages, over and above RSBY entitlement. At present, SCHIS is being implemented in 8 States namely Assam, Gujarat, Karnataka, Kerala, Meghalaya, Nagaland, Tripura and West Bengal. 211 treatment packages (Cardiology - 17, Cardio Thoracic Surgery- 18, Cardio Vascular Surgery- 18, Neuro Surgery-5, Polytrauma & Repair- 7, Burns-8, Surgical Oncology-89, and Medical Oncology-9) are covered under SCHIS. (b): The details of the funds released and expenditure incurred under NPHCE are given at Annexure- A, B & C. The funds for SCHIS will be released through Senior Citizens Welfare Fund administered by Ministry of Social Justice & Empowerment. No funds have been released to State Governments implementing SCHIS till now..
Annexure-A NATIONAL PROGRAMME FOR HEALTH CARE OF THE ELDLERY (NPHCE) (Amount Rs. in Lakhs) Sl. No Name of the States Released by GOI 201-15 Expenditure Reported by the States 1 Andhra Pradesh 0 2 Assam 12.27 53.55 3 Bihar 15 8.22 Chattisgarh 99.00 126.71 5 Gujarat 215.66 230.87 6 Haryana 77.62 8.81 7 Himachal Pradesh 11.85 68.0 8 Jammu & Kashmir 8.9 9 Jharkhand 111.00 56.00 10 Karnataka 170.95 16.33 11 Kerala 15 79.7 12 Madya Pradesh 215.3 81.5 13 Maharashtra 203.6 239. 1 Odisha 116.00 10.71 15 Punjab 111.36 8.1 16 Rajasthan 87.05 86.03 17 Sikkim.00 0 18 Tamil Nadu 0.2 0 19 Uttarakhand 11.2 20 Uttar Pradesh 0 21 West Bengal 15 18.58 22 Daman & Diu 2.3 0 23 Lakshdweep 95.66 10.90 2 Mizoram 119.06 0 Total 2295.22 2155.79
Sl. No. 1 2 Annexure- B *National Programme for Health Care of the Elderly (NPHCE)- Funds Allocation/released/Expenditure under Non- Communicable Diseases (NCD) flexible pool Rs. in Crore 2015-16 2016-17 2017-18** Name of State Allocatio n under NCD flexible pool Release Expenditure Allocation Release Expenditure Allocation Release Expendi ture Andaman & Nicobar Island 0.73 0.55 1.21 1.21 1.06 0.79 Andhra Pradesh 17.66 1.78 17.9 30.82 30.23 22.67 0.9 3 Arunachal Pradesh 7.81 5.7 7.81 8.1 0.69 1.17 Assam. 35.78 1.18. 55.33 3.02 80.61 0.12 5 Bihar 36.3 22.3 0.18 36.08 18.0 0.28 63.01 7.26 0.0 6 Chandigarh 0.25 0.69 0.2 0.6 0.9 0.61 7 Chhattisgarh 1.99 8.7 0.26 1.85 1.85 1.59 25.93 19.5 7.92 8 Dadra & Nagar Haveli 0.66 0.63 0.15 1.09 0.82 0.35 0.96 0.8 9 Daman & Diu 0.7 0.35 0.78 0.39 0.68 10 Delhi.05 2.23 6.72 5.6 1.31 11 Goa 0.7 0.23 0.6 0.8 12 Gujarat 21.53 20.98 1.91 21.32 21.32 1.83 36.85 27.6 0.06 13 Haryana 7.67.93 0.68 7.6 3.80 1.01 13.18 9.89 0.01 1 Himachal Pradesh 6.55.78 0.7 6.8 3.2 0.35 11.32 5.66 15 Jammu & Kashmir 1.73 8.16 0.91 1.59 1.59 0.72 25.8 19.11 0.0 16 Jharkhand 15.26 10.57 15.11 15.11 0.52 26. 17 Karnataka 21.56 1.29 0.92 21.3 21.3 2.38 36.9 27.68 0.01 18 Kerala 9.33 5.18 0.76 9.2 6.93 1.28 16.07 12.05 1.0 19 Lakshadweep 0.12 0.07 0.25 0.21 0.02 0.18 0 0.03 20 Madhya Pradesh 35.75 26.82 1.05 35. 35.0 0.81 61.83 6.37 21 Maharashtra 38.05 27.5 1.86 37.68 37.68 0.79 65.2 8.90 0.19 22 Manipur 5.00 3.08 0.60 5.00 2.50 9.07 23 Meghalaya 5.31 2.6 5.31 5.31 9.62.33 2 Mizoram 2.85 1.2 0.07 2.85 2.1 0.6 5.17 3.9 0.06
25 Nagaland 3.66 2.63 3.66 1.83 6.6.8 26 Orissa 19.7 16.19 0.81 19.55 19.55 0.70 3.1 17.07 0.1 27 Pudducherry 0.31 0.29 0.52 0.39 0.182 2.5 1.250 0.22 28 Punjab 8.3 6.71 0.82 8.35 8.35 0.69 1.9 29 Rajasthan 36.05 27.0 8.26 35.7 26.78 6.38 62.35 6.76 0.10 30 Sikkim 1.27 0.95 0.51 1.27 1.58 0.31 2.31 31 Tamil Nadu 21.66 17.16 21.5 21.5 1.26 37.22 27.91 32 Tripura 5.32 2.55 5.32 2.66 9.65.3 33 Uttar Pradesh 72.51 5.39 6.28 71.81 71.81 9.15 125. 9.00 2.08 3 Uttarakhand 8.99 6.62 8.9 8.90 15.5 0 0 0.01 35 West Bengal 25.09 13.03 0.2 2.85 2.85 0.51 3.22 21.61 36 Telangana 12.63 9.1 12.5 11.23 21.61 16.20 Total 527.33 379.00 28.16 527.36 50.71 35.7 925.00 53 13.38 *From the F.Y. 2015-16 onwards, the programme has been covered under NCD Flxible Pool including other programmes i.e. National Programme for Control of Blindness & Visual Imairment (NPCB&VI), National Program for Prevention and Control of Cancer, Diabetes, CVD and Stroke (NPCDCS), National Mental Health Programme (NMHP) & National Programme for Tobacco Control (NPTC). The allocation and releases are shown under NCD Flexible Pool and expenditure is for this programme only. **As on date
Sl. No National Programme for Health Care of Elderly Funds released to Regional Geriatric Centre (RGC) and National Centres of Ageing (NCAs) Annexure-C Rs. in Lakhs Name of the States 201-15 2015-16 2016-17 2017-18 Released by GOI Expenditure Reported By the Institutes Released by GOI Expenditure Reported By the Institutes Released by GOI Expenditur e Reported By the Institutes Release d by GOI Expendi ture Reporte d By the Institute s* 1 Govt. Medical College, Tiruvananthapuram, Kerala 2 Intt. Of Medical Sciences, BHU, UP 3 Guwahati Medical College, Guwahati, Assam RGCs covered during 11th Five Year Plan 1.78 8.55 52.01 36.97 22.98 3.6 21.35 71.26 31.87 88. 18.05 238. 11.73 S.N Medical College Jodhpur, Rajasthan (Insttitute) 5 Madras Medical College, Chennai,Tamil Nadu 6 Grants Medical College & JJ Hospital, Mumbai, Maharashtra 7 Sher-e-Kashmir Institute of Medical Science, Srinagar, J &K 8 All India Institute of Medical Science, New Delhi 5 11.5 5.1 5 26.26 5 1.39 5.5 5 27.82 80.51 238. 7.3 30.3 5 31.73 10.26 163.00 7.50 5.00 Sub Total (A) 260.07 20 11.73 526.2 10.69 76. 88 58.26 RGCs and NCAs covered during 12th Five Year Plan 1 Gandhi Medical College, Bhopal 10 27.11 2 Kolkata Medical College, Kolkata 3 Nizam s Institute of Medical Sciences, Hyderabad 10 27.11 10 27.11 S.C.B. Medical College, Cuttack 10 27.11 5 King George s Medical 10 27.11 University, Lucknow 6 Rajendra Institute of Medical Sciences, Ranchi 7 Bangalore Medical College & Research Institute, Bengaluru 37.11 238. 37.11 238.
8 B.J. Medical College, Ahmadabad 9 Government Medical College, Nagpur 10 Agartala Medical College, Agartala 37.11 238. 37.11 238. 11 Patna Medical College, Patna 13. 12 Rajendra Prasad Government 37.11 238. Medical College, Himachal Pradesh Sub Total (B) 50 2971.10 1605.6 National Centres for Ageing (NCAs) 1 Madras Medical College, 1000.0 20 30 00. Chennai 0 00 2 All India Istitute of Medical Science, New Delhi Sub Total (C) 1900.0 0 Grand Total (A+B+C) 260.07 2600.0 0 * As on date. 90 29 89 30 00.00 11.73 8387.52 350.69 682.52 58.26